Healthcare Provider Details
I. General information
NPI: 1972898070
Provider Name (Legal Business Name): ALOK SACHDEVA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2011
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2799 W GRAND BLVD
DETROIT MI
48267-2677
US
IV. Provider business mailing address
1 FORD PL STE 3A
DETROIT MI
48202-3450
US
V. Phone/Fax
- Phone: 313-916-2600
- Fax:
- Phone: 800-999-5829
- Fax: 248-641-4840
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 4301098999 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 61250 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 4301098999 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: